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Rojulpote C, Patil S, Gonuguntla K, Kharbanda P, Karambelkar P, Kela K, Singh V, Nadadur S, Kumar M, Buch T. Socioeconomic status and trends in utilization of catheter ablation in patients hospitalized with atrial fibrillation in united states. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.0539] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
Atrial fibrillation (AF) is the most common arrhythmia encountered in a hospital setting. However, there is little data on the relationship of socioeconomic status (SES) and the utilization of catheter ablation amongst patients admitted with AF.
Methods
The National Inpatient Sample database was queried from 2003 to 2014 using ICD 9 revised diagnosis codes to identify patients who were hospitalized with a primary diagnosis of AF. SES was determined by median household income (MHI) and divided into quartiles (0–25th, 26–50th, 51–75th, and 76–100th). Trends were analyzed using Cochran Armitage test.
Results
We analyzed 3,618,133 patients with AF that were admitted from 2003 to 2014 (median age: 72 [IQR 61 – 81], female 52.6%). Trends stratified by MHI to compare catheter ablation rates of all 12 years revealed significant differences (Figure 1). A multivariable logistic regression accounting for sociodemographic factors revealed an increasing trend of catheter ablation utilization with higher MHI (Figure 1).
Conclusion
Over a 12-year period, patients admitted to the hospital with AF with higher MHI were found to have increasing rates of catheter ablation utilization due to AF. Conversely, a decline in catheter ablation rates were noted in patients with lower MHI.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- C Rojulpote
- The Wright Center for Graduate Medical Education, Scranton, United States of America
| | - S Patil
- University of Connecticut, Medicine, Hartford, United States of America
| | - K Gonuguntla
- University of Connecticut, Medicine, Hartford, United States of America
| | - P Kharbanda
- The Wright Center for Graduate Medical Education, Scranton, United States of America
| | - P Karambelkar
- The Wright Center for Graduate Medical Education, Scranton, United States of America
| | - K Kela
- The Wright Center for Graduate Medical Education, Scranton, United States of America
| | - V Singh
- The Wright Center for Graduate Medical Education, Scranton, United States of America
| | - S Nadadur
- University of Connecticut, Medicine, Hartford, United States of America
| | - M Kumar
- University of Connecticut, Medicine, Hartford, United States of America
| | - T Buch
- The Wright Center for Graduate Medical Education, Scranton, United States of America
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Abstract
AbstractEpilepsy is the commonest serious neurological problem faced by obstetricians and gynaecologists. Epidemiological studies estimate epilepsy to complicate 0.3–0.7% of all pregnancies.1 2 The importance of epilepsy in pregnancy lies in the fact that many women with epilepsy (WWE) have to go through their pregnancy while taking antiepileptic (AED) drugs. Both the seizures and AEDs can have harmful effects on the mother as well the foetus. Thus, during pregnancy, the clinician faces dual challenge of controlling seizures as well as preventing teratogenicity of AEDs.1 In this review we discuss the possible impact of seizures as well as AEDs on mother as well as the child. We try to answer some of the commonest questions which are relevant to successful management of pregnancy and ensuring birth of a healthy baby.
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Affiliation(s)
- R. Bansal
- Department of Obstetrics and Gynaecology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, India
| | - G. Jain
- Department of Neurology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, India
| | - P. Kharbanda
- Department of Neurology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, India
| | - M. Goyal
- Department of Neurology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, India
| | - V. Suri
- Department of Obstetrics and Gynaecology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, India
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Sharan J, Singh S, Lale SV, Mishra M, Koul V, Kharbanda P. Applications of Nanomaterials in Dental Science: A Review. J Nanosci Nanotechnol 2017; 17:2235-2255. [PMID: 29638105 DOI: 10.1166/jnn.2017.13885] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Nanotechnology has revolutionized health care industry in a large scale and its applications are a boon to modern medicine and dental science. It is expected to pervade and further revolutionize the art and science of dentistry and may well have important applications spanning all the aspects of oral diseases, diagnosis, prevention and treatment. Materials science in dentistry has embraced the technology to produce nanomaterials that are being used in caries inhibitors, antimicrobial resins, hard tissue remineralizing agents, targeted drug delivery, scaffolds, bio-membranes, nanocrystalline hydroxyl apatite, restorative cements, adhesion promoters and boosters, bioactive glass, tissue conditioners, reinforced methacrylate resins, root canal disinfectants, friction free orthodontic arch wires and nano composites life. These upcoming technologies have potential to bring about significant benefits in the form of improvement in dental science and to society. The present review presents the latest recent developments in this interdisciplinary field bridging nanotechnology and dental science.
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Vaishnavi C, Behura C, Prabhakar S, Sharma A, Kharbanda P. Anti-ganglioside antibodies in patients with Guillain Barré syndrome and other neurological disorders. Indian J Med Microbiol 2013; 31:177-9. [PMID: 23867676 DOI: 10.4103/0255-0857.115223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
A study was performed on 59 Guillain-Barré syndrome (GBS) cases, 58 neurological controls (NC) and 60 non-neurological controls (NNC) to investigate the association of anti-ganglioside antibodies in GBS and other neurological disorders. Campylobacter jejuni was isolated from 5.7% of GBS patients. Anti-ganglioside immunoglobulin G was present in 82% and immunoglobulin M in 46% in acute inflammatory demyelinating polyneuropathy patients, 70% and 44% respectively in acute motor axonal neuropathy subgroup and 38% each in acute motor sensory axonal neuropathy subgroup. Though high intensity of anti-gangliosides was present in the GBS patients, the NC patients also had adequate anti-gangliosides compared with the NNC group.
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Affiliation(s)
- C Vaishnavi
- Department of Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
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Kharbanda P, Balakrishnan C, Joshi VR. P33 Intestinal pseudo-obstruction in systemic lupus erythematous: a report of 4 patients. Indian Journal of Rheumatology 2009. [DOI: 10.1016/s0973-3698(09)60051-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Kharbanda P, Oak J, Oswal V, Singh S, Bagul V, Balakrishnan C, Samant R. P34 Multicenter prospective study of evolution and outcome of patients with recently diagnosed systemic lupus erythematosus from Mumbai. Indian Journal of Rheumatology 2009. [DOI: 10.1016/s0973-3698(09)60052-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Kharbanda P, Balakrishnan C, Singh N, Samant R, Krishna BA. O8 Vessel to liver SUV ratios in FDG PET; a probable novel way of assessing disease activity in Takayasu's arteritis. Indian Journal of Rheumatology 2009. [DOI: 10.1016/s0973-3698(09)60010-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Tembe AG, Kharbanda P, Bhojani K, Joshi VR. Profile of rheumatoid arthritis patients attending a private tertiary hospital rheumatology clinic. Indian Journal of Rheumatology 2008. [DOI: 10.1016/s0973-3698(10)60140-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Kharbanda P, Rohini S, Joshi VR. P7 Chronic periaortitis—our experience of three biopsy proven cases. Indian Journal of Rheumatology 2008. [DOI: 10.1016/s0973-3698(10)60451-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Tembe AG, Kharbanda P, Bhojani K, Joshi VR. P13 Profile of rheumatoid arthritis patients: a questionnaire based study from a private hospital. Indian Journal of Rheumatology 2007. [DOI: 10.1016/s0973-3698(10)60340-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Rai S, Wadhwa V, Kharbanda P, Uppal B. A case of poly-parasitism involving a trematode and four different nematodes in a migrant from Bihar. Indian J Med Microbiol 2007; 25:62-3. [PMID: 17377357 DOI: 10.4103/0255-0857.31066] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Reported is a case of seven-year-old, migrant from Bihar state, infested with Fasciolopsis buski Strongyloides stercoralis Ascaris lumbricoides, Trichuris trichiura and Ankylostoma duodenale in feces. Patient responded to treatment with piperazine, thiabendazole and albendazole, the importance of considering multiple and non-endemicparasite infestations in migrant of poor socio-economic background is emphasized.
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Affiliation(s)
- S Rai
- Maulana Azad Medical College and LN Hospital, New Delhi, India.
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Wadhwa V, Kabra S, Khaki P, Gur R, Bhalla P, Rai S, Kharbanda P, Mishra B, Uppal B, Singh AV, Ahuja RB, Gautam VK. Outbreak of burn wound infections by Salmonella enterica serovar Menston and the role of disinfectant testing in finding the cause of spread. J Hosp Infect 2007; 65:180-1. [PMID: 17175067 DOI: 10.1016/j.jhin.2006.10.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2006] [Accepted: 10/02/2006] [Indexed: 11/21/2022]
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Abstract
Genitourinary myiasis, associated with ulcerating lesions and poor hygiene of the local site, has been infrequently reported. We report a case of 45 year-old urinary incontinent female suffering from carcinoma cervix, who presented with genitourinary myiasis. The larva was identified as of Chrysomyia bezziana Villeneuve (C. bezziana).
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Affiliation(s)
- V Wadhwa
- Department of Microbiology, Maulana Azad Medical College & LN Hospital, New Delhi-110 002, India.
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Abstract
The reported case is of primary pulmonary nocardiosis, caused by Nocardia brasiliensis, in a immunocompromised patient, which ended fatally despite appropriate treatment. The partially acid fast filamentous bacterium was predominant on direct examination of the sputum. It was cultured on blood agar, MacConkey agar and by paraffin baiting technique. The bacterium was resistant to cotrimoxazole, the drug of choice for nocardiosis.
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Affiliation(s)
- V Wadhwa
- Department of Microbiology, Maulana Azad Medical College and LN hospital, New Delhi - 110 002, India.
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Wadhwa V, Kumar S, Rai S, Kharbanda P, Kabra S, Sharma VK. A 'pseudo outbreak' of the contamination of blood cultures with Volvox globator. Annals of Tropical Medicine & Parasitology 2005; 99:719-20. [PMID: 16212805 DOI: 10.1179/136485905x51391] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Affiliation(s)
- V Wadhwa
- Department of Microbiology, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi 110002, India.
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Kharbanda P, Sidhu SS, Panda SK, Deshmukh R. Gingival fibromatosis: study of three generations with consanguinity. Quintessence Int 1993; 24:161-4. [PMID: 8511274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
Familial gingival fibromatosis affecting six members among three generations of an Islamic family is reported. Clinical findings are reported and the inheritance pattern is discussed. Histopathologic examination of the excised tissue revealed mainly fibroblasts with prominent, rough-surfaced endoplasmic reticulum. Cells with vesicular nuclei, resembling mast cells, were also observed.
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Affiliation(s)
- P Kharbanda
- Department of Dental Surgery and Department of Pathology, All India Institute of Medical Sciences, New Delhi
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